Abstract
OBJECTIVE: This study uses screening and hospitalization data to describe the prevalence of childhood lead poisoning in Chicago and the rest of the state of Illinois. METHODS: The authors used aggregate data published by the Illinois Department of Public Health on blood lead testing of children ages 0-6 years and data on lead-related hospital admissions of children ages 0-6 years, drawn from an administrative dataset compiled as part of a state initiative. RESULTS: No clear time trends in the percentage of children with elevated blood lead levels (defined as >15 micrograms per deciliter [microg/dL] or >45 microg/dL) were evident in either Chicago or the rest of Illinois. The proportions of children with elevated blood lead levels in Chicago and in the rest of Illinois did not decline at the dramatic rate seen in the US as a whole during the 1990s. Over a five-year period, in-hospital charges of $7.7 million were generated for the care of lead-poisoned children ages 6-16 in Chicago alone. CONCLUSION: Surveillance data, analyzed at the appropriate geographic level, can be used to focus resources on high-risk areas and to evaluate prevention efforts.
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Selected References
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- Bellinger D., Leviton A., Waternaux C., Needleman H., Rabinowitz M. Longitudinal analyses of prenatal and postnatal lead exposure and early cognitive development. N Engl J Med. 1987 Apr 23;316(17):1037–1043. doi: 10.1056/NEJM198704233161701. [DOI] [PubMed] [Google Scholar]
- Lanphear B. P., Matte T. D., Rogers J., Clickner R. P., Dietz B., Bornschein R. L., Succop P., Mahaffey K. R., Dixon S., Galke W. The contribution of lead-contaminated house dust and residential soil to children's blood lead levels. A pooled analysis of 12 epidemiologic studies. Environ Res. 1998 Oct;79(1):51–68. doi: 10.1006/enrs.1998.3859. [DOI] [PubMed] [Google Scholar]
- Needleman H. L., Gatsonis C. A. Low-level lead exposure and the IQ of children. A meta-analysis of modern studies. JAMA. 1990 Feb 2;263(5):673–678. [PubMed] [Google Scholar]
- Needleman H. L., Schell A., Bellinger D., Leviton A., Allred E. N. The long-term effects of exposure to low doses of lead in childhood. An 11-year follow-up report. N Engl J Med. 1990 Jan 11;322(2):83–88. doi: 10.1056/NEJM199001113220203. [DOI] [PubMed] [Google Scholar]
- O'Campo P., Guyer B. Innovative methods for monitoring perinatal health outcomes in cities and in smaller geographic areas. Am J Public Health. 1999 Nov;89(11):1667–1672. doi: 10.2105/ajph.89.11.1667. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sargent J. D., Brown M. J., Freeman J. L., Bailey A., Goodman D., Freeman D. H., Jr Childhood lead poisoning in Massachusetts communities: its association with sociodemographic and housing characteristics. Am J Public Health. 1995 Apr;85(4):528–534. doi: 10.2105/ajph.85.4.528. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schwartz J. Low-level lead exposure and children's IQ: a meta-analysis and search for a threshold. Environ Res. 1994 Apr;65(1):42–55. doi: 10.1006/enrs.1994.1020. [DOI] [PubMed] [Google Scholar]
- Schwartz J. Societal benefits of reducing lead exposure. Environ Res. 1994 Jul;66(1):105–124. doi: 10.1006/enrs.1994.1048. [DOI] [PubMed] [Google Scholar]
